Pramod Tadakamalla, DDS

NPI 1629591854 · on the registry since 2017

Practice

Address: 3510 N University St Ste C
Peoria, IL 61604
Phone: (309) 271-7777
Fax: (309) 324-5777
Organisation at this address: Vogue Dental Peoria Llc
Affinity Dental Peoria Llc
Access Dental Of Peoria Vogue Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois